Patient Access Representative ED

Conifer Health Solutions•Brownsville, TX

9h•Onsite

About The Position

The Patient Access Representative supports departmental efficiency through patient scheduling, registration, pre-admission and admission, reception, and discharge functions. The role obtains complete and accurate patient demographic information and uses compliant techniques to collect patient liabilities before, during, and after the date of service. This position is based at Valley Baptist Brownsville and requires Spanish. The representative must be able to work rotating day, evening, night, and weekend shifts, and be available for hours and days as needed based on departmental or system demands. The representative greets patients and provides customer service, completes registrations, explains and secures hospital and patient legal forms, and scans and organizes protected health information. The role also educates patients about financial liabilities, processes payments and cash reconciliation, verifies insurance and medical necessity, obtains authorizations and payer notifications, and completes assigned financial-clearance activities. Additional duties may include scheduling diagnostic procedures and coordinating post-discharge care.

Requirements

High school diploma or GED.
Spanish required.
Minimum typing speed of 35 words per minute.
Demonstrated working knowledge of a PC, CRT, and printer.
Zero to one year of experience in a customer service role.
Ability to work in a fast-paced environment and communicate detailed information orally and in writing.
Ability to professionally use negotiation techniques to collect money owed by patients or guarantors.
Ability to work rotating day, evening, night, and weekend shifts and to work hours and days as needed based on departmental or system demands.
Ability to perform essential job duties in at least two Patient Access service areas, including the Emergency Department.
Must obtain and provide confirmation of required vaccinations and screenings before employment, as applicable and permitted by law.
Ability to sit at a computer terminal for extended periods, frequently stand, sit, and walk, occasionally lift or carry items weighing up to 25 pounds, and occasionally push a wheelchair.
Ability to work in patient care locations with potential exposure to life-threatening patient conditions.

Nice To Haves

Knowledge of functions and relationships within a hospital environment.
Understanding of third-party payor requirements.
Understanding of compliance standards.
Zero to one year of administrative experience in a medical facility, health insurance, or related area.
Some college coursework.

Responsibilities

Greet patients according to Conifer Standards of Care and provide customer service.
Complete patient registration at the date of service and obtain complete, accurate patient demographic information.
Follow financial and cash-control policies and procedures, including cash reconciliation and secured payment entry.
Explain and obtain required hospital and patient legal forms, including advance directives, conditions of service, treatment consent, Medicare notices, and EMTALA forms.
Scan protected health information and create and file patient information packets or folders for upcoming hospital services.
Educate patients about financial liabilities and use proper, compliant techniques to collect patient payments before, during, and after the date of service.
Verify medical necessity, insurance, benefits, coverage, and eligibility in accordance with applicable Centers for Medicare & Medicaid Services requirements.
Complete assigned registration and financial-clearance work-list activities.
Obtain insurance authorizations for scheduled and unscheduled hospital services and secure inpatient visit notification to payors.
Assist with scheduling diagnostic procedures and provide appointment instructions when needed.
Assist with scheduling and coordinating post-discharge care when needed.
Perform essential duties in at least two Patient Access service areas, including the Emergency Department.
Interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Build and maintain collaborative relationships with internal and external clients to support communication, productivity, and accuracy.